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Organization
MIAMI CHILDRENS HOSPITAL
Active
Organization
MIAMI CHILDRENS HOSPITAL
Active
Other names
MIAMI CHILDRENS HOSPITAL PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE CHAN (DIR PCHY SVS)
(305) 663-8512
Entity
Organization
Contact information
Practice address
6125 SW 31ST ST, MIAMI, FL 33155-3003
(305) 669-7155
(305) 669-6564
Mailing address
6125 SW 31ST ST, MIAMI, FL 33155-3003
(305) 669-7155
(305) 669-6564
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
PH8001
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034266
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
106585800
—
FL
05
—
106585801
—
FL
Enumeration date
06/24/2006
Last updated
06/22/2010
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